NPIMap

Organization Active NPI

DRS Darvish & Moheban LLC

  • Health Maintenance Organization
  • Worcester, MA
National Provider Identifier
1760712533
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
10534 Issued in MA
Legal business name
DRS DARVISH & MOHEBAN LLC
Practice address
200 Lincoln St
Worcester, MA 01605-2528
Phone
(508) 756-6264
Fax
(508) 756-6490
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Manouch Darvish, D.M.D.NPI 1265540090
Title
Owner
Phone
(508) 756-6264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 10534 MA Primary

Addresses

Primary practice location

200 Lincoln St
Worcester, MA 01605-2528

Mailing address

200 Lincoln St
Worcester, MA 01605-2528
Phone (508) 756-6264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1760712533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052528",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052528",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS DARVISH & MOHEBAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "MANOUCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-756-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "10534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.